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A virtual reality simulator (ORSIM, Airway Simulation Ltd.) may be more effective than conventional teaching methods in improving performance of fiber-optic bronchoscopy (FOB)-guided intubation in patients under general anesthesia. According to a recent study, post-training performance of FOB-guided intubation, as measured by intubation time and Global Rating Scale, improved in operators who received 60 minutes […]
Read MoreThe FDA expanded its warnings against using opioids and benzodiazepines concomitantly. This action is based on new information on three specific opioids—buprenorphine, buprenorphine-naloxone and methadone, which are typically prescribed for the treatment of opioid use disorder—and the risk for respiratory depression when these drugs are used with benzodiazepines or other central nervous system (CNS) depressants. […]
Read MoreI thought this was interesting so I wanted to share it with our readers By Parija Kavilanz There’s an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs. In America, experienced nurses are retiring […]
Read MoreSynthesizing data from several small randomized controlled trials, a new meta-analysis illustrates the importance of noninvasive monitoring of regional cerebral oxygen saturation with near-infrared spectroscopy (NIRS) for patients undergoing high-risk surgical procedures. The researchers concluded that NIRS can help identify cerebral desaturation events, thereby reducing the incidence of postoperative cognitive dysfunction in these individuals, leading […]
Read MoreFYI wanted to share this since endoscopies are the most frequent procedure that uses anesthesia services. Tuesday, the U.S. Food and Drug Administration permitted marketing of Hemospray, a new device used to help control certain types of bleeding in the gastrointestinal (GI) tract. “The device provides an additional, non-surgical option for treating upper and lower […]
Read MoreFor elbow surgery, the supraclavicular and infraclavicular brachial plexus blocks are similar on several parameters, including block effectiveness, onset and secondary outcomes. According to study researcher Brigid Brown, MD, although supraclavicular and infraclavicular blocks are well-described regional anesthesia techniques for elbow surgery, there is still ongoing debate about their variation in speed of onset and […]
Read MoreAuthor: Joseph F. Answine, MD, FASA As we continue to advance our techniques, monitors and medications in order to optimize patient safety, we still struggle with postoperative respiratory compromise. Respiratory events are a leading cause of anesthesia-related complications, especially in elderly and morbidly obese patients, and residual neuromuscular blockade is commonly involved. The problem is […]
Read MoreAJMC Nov 2017 Author: Laura Joszt Patients are significantly overestimating the pain they will feel after surgery, indicating that providers can do a better job of educating patients on what they can expect. Providers are not doing an adequate job of preparing patients for the pain they will experience after a surgery. Research presented at the […]
Read MorePediatric Anesthesia Nov 2017 Authors: Hanna Anderson et al Background Children often starve for longer than recommended by current preoperative fasting guidelines. Aims We studied the effects of implementing a more lenient fasting regimen on the duration of clear fluid fasting, as well as the incidence of extended fasting in children. Methods Preoperative duration of […]
Read MoreAnesthesia Nov 2017 Authors: N. Douglas et al Summary Traditional conscious sedation for endobronchial ultrasound procedures places patients at risk of desaturation, and high‐flow nasal oxygen may reduce the risk. We designed a parallel‐group randomised controlled trial of high‐flow nasal oxygen at a flow rate of 30–70 l.min−1via nasal cannulae, compared with standard oxygen therapy at 10 […]
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